MEDICARE: DR. ELHAM H ELZIND M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	19502	NV
2	207V00000X	Obstetrics & Gynecology Physician	ME0075058	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2198250	OTHER		AETNA HMO
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	42756	OTHER		BLUECROSS/ BLUESHIELD
4	60077	OTHER		PARITY
5	026876	OTHER		NEIGHBORHOOD
6	244626	OTHER		AVMED
7	5358650	OTHER		AETNA PPO
8	6503052028	OTHER		BEACON
9	223712	OTHER	FL	AMERIGROUP

General Provider Information

NPI Number	:	1720195605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELHAM H ELZIND M.D.

Provider Business Mailing Address
First Line	:	PO BOX 98978
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89193-8978
Country	:	US
Telephone Number	:	702-216-3346
Fax Number	:	702-671-6883

Provider Business Practice Location Address
First Line	:	9260 W SUNSET RD STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4903
Country	:	US
Telephone Number	:	702-216-3346
Fax Number	:	702-671-6883

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	02/27/2020

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Directions to “ DR. ELHAM H ELZIND M.D.” Practice Location

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